05D0917446 CLIA NUMBER - SERGIO R GOMEZ, MD, INC

Laboratory Demographics

  • CLIA Code: 05D0917446
  • Facility Name: SERGIO R GOMEZ, MD, INC
  • Facility Address: 2005 N GAREY AVE
    POMONA, CA
    ZIP 91767
  • Facility Phone: 909 868-1620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SERGIO R. GOMEZ MD
  • NPI Number: 1689720112
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0917446
LAB Type Physician Office
Facility Name SERGIO R GOMEZ, MD, INC
Street 2005 N GAREY AVE
City POMONA
State CA
ZIP 91767
Phone 909 868-1620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director SERGIO R. GOMEZ MD

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This page was last updated on: 9/29/2025